Eligibility Specialist II
About The Position
The Eligibility Specialist II determines initial and continued eligibility for public assistance programs, specifically within the Long-Term Care Eligibility Unit with a strong focus on MaineCare policy. This role may also involve quality control by reviewing eligibility decisions made by others. The work environment is fast-paced, demanding high standards for customer service and program accuracy. The specialist is responsible for gathering sensitive and personal information to make timely and accurate eligibility determinations. Strong interpersonal and conflict resolution skills are essential due to interactions with diverse individuals who may be in various emotional states.
Requirements
- A four (4) year combination of education, training, and/or progressively responsible experience in a social services setting which demonstrates interviewing and data gathering skills as needed to form basis for judgments in eligibility determinations, claims resolutions, and/or customer service requests
- a Bachelors Degree in Social Services, Business Administration, or other related field.
Responsibilities
- Interview clients, obtains and assesses all necessary facts, data, supporting information, and documentation pertaining to the application or recertification for public assistance.
- Evaluate information and applies allowable standards and criteria.
- Explain program eligibility requirements, rules, regulations and individual rights and responsibilities to clients and their representatives.
- Reviews and analyzes information for accuracy; identifies inconsistencies; requests necessary documentation; verifies and validates data.
- Answers inquiries and refers clients to various programs.
- Accurately enters data into an automated system and ensures accurate eligibility results.
- Communicate verbally and in writing with clients, co-workers and other agencies.
- Perform intermediate mathematical calculations.
- Maintain confidentiality of all applicant and recipient information.
Benefits
- 13 paid holidays
- 12 days of sick leave
- 3+ weeks of vacation leave annually
- Vacation leave accrual increases with years of service
- Overtime-exempt employees receive personal leave
- Health Insurance Coverage (State of Maine pays 85%-100% of employee-only premiums, $12,845.82 - $15,112.76 annual value, depending on salary)
- Health Insurance Premium Credit (decreases employee-only premiums by 5%)
- Dental Insurance (State of Maine pays 100% of employee-only dental premiums, $395.72 annual value)
- Retirement Plan (State contributes the equivalent of 14.11% of the employee's pay towards the Maine Public Employees Retirement System (MainePERS))
- Six weeks of fully paid parental leave for all employees welcoming a child (including non-birthing and adoptive parents)
- Additional, unpaid leave may also be available, under the Family and Medical Leave Act
- Extensive and highly competitive benefits package, covering many aspects of wellness
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Number of Employees
5,001-10,000 employees
